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Organization
WATERSHED GROUP OF AUSTIN DBA LIFEOLOGIE
Active
Organization
WATERSHED GROUP OF AUSTIN DBA LIFEOLOGIE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LY TRAN (OWNER)
(512) 651-3575
Entity
Organization
Contact information
Practice address
7000 N MOPAC EXPY STE 200, AUSTIN, TX 78731-3013
(512) 651-3575
Mailing address
3600 SHIRE BLVD STE 208, RICHARDSON, TX 75082-2238
(214) 556-0996
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/29/2022
Last updated
04/29/2022
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